MS. CAROLYN BURROUGHS (NPI# 1396211884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396211884 |
| Entity Type | Individual |
| Full Name | MS. CAROLYN BURROUGHS |
| Credential | OWNER |
| Practice Address |
26962 Franklin Rd Apt 131 Southfield MI 48033-2437 |
| Mailing Address |
Po Box 2665 Southfield MI 48037-2665 |
| Practice Telephone | 2483532100 |
| Practice Fax Number | 2483532131 |
| Mailing Telephone | 2489370917 |
| Mailing Fax Number | 2483532131 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703119439 | MI | Nursing Service Providers |
| Street Address |
26962 FRANKLIN RD APT 131 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789546 | Lashonda S Noble | Licensed Practical Nurse | 21107 Lahser Rd, Southfield, MI 48033-4400 | 2020-10-30 |
| 1558990432 | Lawanda D Gibson | Licensed Practical Nurse | 21415 Civic Center Dr Ste 302, Southfield, MI 48076-3954 | 2020-04-03 |
| 1376102434 | Dajuan Fanning | Licensed Practical Nurse | 17072 New Hampshire Dr, Southfield, MI 48075-2972 | 2019-06-11 |
| 1306409404 | Rochelle L Smith | Licensed Practical Nurse | 26748 Franklin Pointe Dr, Southfield, MI 48034-5626 | 2019-04-16 |
| 1063972800 | Amicah Desiray Tolbert | Licensed Practical Nurse | 17608 Gateway Cir, Southfield, MI 48075-4718 | 2019-03-20 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1558863308 | Taqayla Allie | Licensed Practical Nurse | 23870 Lawn Rd Apt 2104, Southfield, MI 48033-3138 | 2018-03-07 |
| 1003322637 | Crystal Young-rowe | Licensed Practical Nurse | 19800 Saxton Ave, Southfield, MI 48075-7330 | 2017-12-19 |
| 1851807440 | Jasmine Nelson | Licensed Practical Nurse | 25597 Ingleside Dr, Southfield, MI 48033-4842 | 2017-12-19 |
| 1811429244 | Sandra Dee Wolfe | Licensed Practical Nurse | 21271 8 1/2 Mile Rd, Southfield, MI 48075-3876 | 2017-04-03 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on MS. CAROLYN BURROUGHS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.